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								<span id="ctl00_ContentPlaceHolder1_JQ1_lblQuestionnaireName">健康状况调查问卷</span>
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									style="font-weight: bold;">10</a>份&nbsp;</span>
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								<span style="float: left;"> </span> <span
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									style="vertical-align: middle;">亲爱的职工朋友：&nbsp;<br />
									&nbsp;&nbsp;&nbsp;
									您好！我们是北京大学医学部赴大连暑期实践团。我们的课题是调查IT行业员工的身心健康状况以及企业管理模式对员工身心健康和企业效益的影响。我们希望能够通过这份问卷了解一下您的健康状况和对企业健康运营方面的看法，以便能够对企业提出合理化的建议，增进员工的身心健康，提高企业效益。&nbsp;<br />
									&nbsp;&nbsp;&nbsp;
									本问卷为无记名问卷，希望您能够如实表达您自己的想法。问卷的分析仅用于我们的社会实践调查研究。我们会对问卷的内容和分析结果进行保密。如果您希望了解本次调查的结果，可留下您的邮箱地址。我们会在结果分析完毕后发送到您的邮箱。<br />
									&nbsp;&nbsp;&nbsp; 谢谢您的支持~</span>
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										<span style="font: 14px">第1页11/共1页</span>
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											<strong><span style="font-size: 14px;">基本信息</span>
												<hr /> </strong>
										</div>
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									<div class="div_question" id="div1">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>1.</b>
											</div>
											<div id="divTitle1" class="div_title_question">
												您的性别：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion1">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 49%;"><input type="radio" name="q1"
													id="q1_1" value="1" /><label for="q1_1">男</label></li>
												<li style="width: 49%;"><input type="radio" name="q1"
													id="q1_2" value="2" /><label for="q1_2">女</label></li>
												<div style="clear: both;"></div>
											</ul>
											<ul>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div2">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>2.</b>
											</div>
											<div id="divTitle2" class="div_title_question">
												您的年龄段：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion2">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 11.5%;"><input type="radio" name="q2"
													id="q2_1" value="1" /><label for="q2_1">15岁以下</label></li>
												<li style="width: 11.5%;"><input type="radio" name="q2"
													id="q2_2" value="2" /><label for="q2_2">15~20</label></li>
												<li style="width: 11.5%;"><input type="radio" name="q2"
													id="q2_3" value="3" /><label for="q2_3">21~25</label></li>
												<li style="width: 11.5%;"><input type="radio" name="q2"
													id="q2_4" value="4" /><label for="q2_4">26~30</label></li>
												<li style="width: 11.5%;"><input type="radio" name="q2"
													id="q2_5" value="5" /><label for="q2_5">31~40</label></li>
												<li style="width: 11.5%;"><input type="radio" name="q2"
													id="q2_6" value="6" /><label for="q2_6">41~50</label></li>
												<li style="width: 11.5%;"><input type="radio" name="q2"
													id="q2_7" value="7" /><label for="q2_7">51~60</label></li>
												<li style="width: 11.5%;"><input type="radio" name="q2"
													id="q2_8" value="8" /><label for="q2_8">60以上</label></li>
												<div style="clear: both;"></div>
											</ul>
											<ul>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div3">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>3.</b>
											</div>
											<div id="divTitle3" class="div_title_question">
												您正在攻读或已获得的最高学位：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion3">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 32.333%;"><input type="radio"
													name="q3" id="q3_1" value="1" /><label for="q3_1">小学以下</label>
												</li>
												<li style="width: 32.333%;"><input type="radio"
													name="q3" id="q3_2" value="2" /><label for="q3_2">初中</label>
												</li>
												<li style="width: 32.333%;"><input type="radio"
													name="q3" id="q3_3" value="3" /><label for="q3_3">高中</label>
												</li>
												<div style="clear: both;"></div>
											</ul>
											<ul>
												<li style="width: 32.333%;"><input type="radio"
													name="q3" id="q3_4" value="4" /><label for="q3_4">中专</label>
												</li>
												<li style="width: 32.333%;"><input type="radio"
													name="q3" id="q3_5" value="5" /><label for="q3_5">大专</label>
												</li>
												<li style="width: 32.333%;"><input type="radio"
													name="q3" id="q3_6" value="6" /><label for="q3_6">大学本科</label>
												</li>
												<div style="clear: both;"></div>
											</ul>
											<ul>
												<li style="width: 32.333%;"><input type="radio"
													name="q3" id="q3_7" value="7" /><label for="q3_7">硕士研究生</label>
												</li>
												<li style="width: 32.333%;"><input type="radio"
													name="q3" id="q3_8" value="8" /><label for="q3_8">博士研究生</label>
												</li>
												<li style="width: 32.333%;"><input type="radio"
													name="q3" id="q3_9" value="9" /><label for="q3_9">博士以上</label>
												</li>
												<div style="clear: both;"></div>
											</ul>
											<ul>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div4">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>4.</b>
											</div>
											<div id="divTitle4" class="div_title_question">
												您目前从事的职业：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion4">
											<div class="div_table_clear_top"></div>
											<select id="q4" name="q4"><option value="-2">请选择</option>
												<option value="1">销售人员</option>
												<option value="2">市场/公关人员</option>
												<option value="3">客服人员</option>
												<option value="4">行政/后勤人员</option>
												<option value="5">人力资源</option>
												<option value="6">财务/审计人员</option>
												<option value="7">文职/办事人员</option>
												<option value="8">技术/研发人员</option>
												<option value="9">管理人员</option>
												<option value="10">顾问/咨询</option>
												<option value="11">其他</option>
											</select>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div5">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>5.</b>
											</div>
											<div id="divTitle5" class="div_title_question">
												请输入您的部门：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion5">
											<div class="div_table_clear_top"></div>
											<textarea title=""
												style="overflow: auto; width: 200px; height: 18px;"
												class="underline" value="" id="q5" name="q5" cols="" rows=""></textarea>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div6">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>6.</b>
											</div>
											<div id="divTitle6" class="div_title_question">
												您目前的月收入：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion6">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 24%;"><input type="radio" name="q6"
													id="q6_1" value="1" /><label for="q6_1">2000以下</label></li>
												<li style="width: 24%;"><input type="radio" name="q6"
													id="q6_2" value="2" /><label for="q6_2">2000~3000</label>
												</li>
												<li style="width: 24%;"><input type="radio" name="q6"
													id="q6_3" value="3" /><label for="q6_3">3001~5000</label>
												</li>
												<li style="width: 24%;"><input type="radio" name="q6"
													id="q6_4" value="4" /><label for="q6_4">5001~8000</label>
												</li>
												<div style="clear: both;"></div>
											</ul>
											<ul>
												<li style="width: 24%;"><input type="radio" name="q6"
													id="q6_5" value="5" /><label for="q6_5">8001~15000</label>
												</li>
												<li style="width: 24%;"><input type="radio" name="q6"
													id="q6_6" value="6" /><label for="q6_6">15001~50000</label>
												</li>
												<li style="width: 24%;"><input type="radio" name="q6"
													id="q6_7" value="7" /><label for="q6_7">50000以上</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div id="divCut2">
										<div class="div_title_cut_question">
											<strong>身心健康状况<br /> </strong>以下为SF-36标准健康调查量表，略有修改<br />
											<hr />
										</div>
									</div>
									<div class="div_question" id="div7">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>7.</b>
											</div>
											<div id="divTitle7" class="div_title_question">
												总体来讲，您认为你的健康状况是<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion7">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 99%;"><input type="radio" name="q7"
													id="q7_1" value="1" /><label for="q7_1">非常好</label></li>
												<li style="width: 99%;"><input type="radio" name="q7"
													id="q7_2" value="2" /><label for="q7_2">很好</label></li>
												<li style="width: 99%;"><input type="radio" name="q7"
													id="q7_3" value="3" /><label for="q7_3">好</label></li>
												<li style="width: 99%;"><input type="radio" name="q7"
													id="q7_4" value="4" /><label for="q7_4">一般</label></li>
												<li style="width: 99%;"><input type="radio" name="q7"
													id="q7_5" value="5" /><label for="q7_5">差</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div8">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>8.</b>
											</div>
											<div id="divTitle8" class="div_title_question">
												和1年前比起来，您认为您的健康状况是<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion8">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 99%;"><input type="radio" name="q8"
													id="q8_1" value="1" /><label for="q8_1">比1年前好多了</label></li>
												<li style="width: 99%;"><input type="radio" name="q8"
													id="q8_2" value="2" /><label for="q8_2">比1年前好一些</label></li>
												<li style="width: 99%;"><input type="radio" name="q8"
													id="q8_3" value="3" /><label for="q8_3">差不多</label></li>
												<li style="width: 99%;"><input type="radio" name="q8"
													id="q8_4" value="4" /><label for="q8_4">比1年前差一些</label></li>
												<li style="width: 99%;"><input type="radio" name="q8"
													id="q8_5" value="5" /><label for="q8_5">比1年前差很多</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div9">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>9.</b>
											</div>
											<div id="divTitle9" class="div_title_question">
												以下这些问题都和日常活动有关。请您想一想，您的健康状况是否限制了这些活动？如果有限制，程度如何？<span
													style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion9">
											<div class="div_table_clear_top"></div>
											<table style="width: 100%;" border="0px" cellpadding="5"
												cellspacing="0">
												<thead>
													<tr>
														<th></th>
														<td align="center">限制很大</td>
														<td align="center">有些限制</td>
														<td align="center">毫无限制</td>
													</tr>
												</thead>
												<tbody>
													<tr align="left" rowindex="0">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">重体力活动。如跑步、移动重物、参加剧烈运动等</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q9_0" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q9_0" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="3" name="q9_0" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="1">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">适度的活动。如扫地、打太极拳、做简单体操等</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q9_1" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q9_1" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="3" name="q9_1" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="2">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">手提日用品。如买菜、购物等</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q9_2" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q9_2" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="3" name="q9_2" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="3">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">上五层以内的楼梯</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q9_3" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q9_3" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="3" name="q9_3" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="4">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">上一层楼梯</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q9_4" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q9_4" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="3" name="q9_4" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="5">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">弯腰、屈膝、下蹲</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q9_5" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q9_5" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="3" name="q9_5" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="6">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">步行1500米以上的路程</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q9_6" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q9_6" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="3" name="q9_6" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="7">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">步行1000米的路程</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q9_7" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q9_7" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="3" name="q9_7" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="8">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">步行100米的路程</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q9_8" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q9_8" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="3" name="q9_8" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="9">
														<th class="rowth" align="left" style="">自己洗澡、穿衣</th>
														<td align="center"><input type="radio" value="1"
															name="q9_9" /></td>
														<td align="center"><input type="radio" value="2"
															name="q9_9" /></td>
														<td align="center"><input type="radio" value="3"
															name="q9_9" /></td>
														<th class="rowth" align="left" style=""></th>
													</tr>
												</tbody>
											</table>
											<div id="slider9"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div10">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>10.</b>
											</div>
											<div id="divTitle10" class="div_title_question">
												&nbsp;在过去4个星期里，您的工作和日常活动有无因为身体健康的原因而出现以下这些问题？<span
													style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion10">
											<div class="div_table_clear_top"></div>
											<table style="width: 100%;" border="0px" cellpadding="5"
												cellspacing="0">
												<thead>
													<tr>
														<th></th>
														<td align="center">有</td>
														<td align="center">没有</td>
													</tr>
												</thead>
												<tbody>
													<tr align="left" rowindex="0">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">减少了工作或其他活动时间</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q10_0" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q10_0" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="1">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">本来想要做的事情只能完成一部分</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q10_1" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q10_1" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="2">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">想要干的工作或活动种类受到限制</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q10_2" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q10_2" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="3">
														<th class="rowth" align="left" style="">完成工作或其他活动困难增多（比如需要额外的努力）</th>
														<td align="center"><input type="radio" value="1"
															name="q10_3" /></td>
														<td align="center"><input type="radio" value="2"
															name="q10_3" /></td>
														<th class="rowth" align="left" style=""></th>
													</tr>
												</tbody>
											</table>
											<div id="slider10"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div11">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>11.</b>
											</div>
											<div id="divTitle11" class="div_title_question">
												&nbsp;在过去4个星期里，您的工作和日常活动有无因为情绪的原因（如压抑或忧虑）而出现以下这些问题？<span
													style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion11">
											<div class="div_table_clear_top"></div>
											<table style="width: 100%;" border="0px" cellpadding="5"
												cellspacing="0">
												<thead>
													<tr>
														<th></th>
														<td align="center">有</td>
														<td align="center">没有</td>
													</tr>
												</thead>
												<tbody>
													<tr align="left" rowindex="0">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">减少了工作或活动时间</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q11_0" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q11_0" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="1">
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;">本来想要做的事情只能完成一部分</th>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="1" name="q11_1" /></td>
														<td align="center"
															style="border-bottom: 1px solid #efefef;"><input
															type="radio" value="2" name="q11_1" /></td>
														<th class="rowth" align="left"
															style="border-bottom: 1px solid #efefef;"></th>
													</tr>
													<tr align="left" rowindex="2">
														<th class="rowth" align="left" style="">干事情不如平时仔细</th>
														<td align="center"><input type="radio" value="1"
															name="q11_2" /></td>
														<td align="center"><input type="radio" value="2"
															name="q11_2" /></td>
														<th class="rowth" align="left" style=""></th>
													</tr>
												</tbody>
											</table>
											<div id="slider11"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div12">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>12.</b>
											</div>
											<div id="divTitle12" class="div_title_question">
												&nbsp;在过去4个星期里，您的健康或情绪不好在多大程度上影响了您与家人、朋友、邻居或集体的正常社会交往？<span
													style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion12">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="完全没有影响" name="q12" id="q12_1" value="1" /><label
													for="q12_1">完全没有影响</label></li>
												<li style="width: 105px;"><input type="radio"
													title="有一点影响" name="q12" id="q12_2" value="2" /><label
													for="q12_2">有一点影响</label></li>
												<li style="width: 105px;"><input type="radio"
													title="中等影响" name="q12" id="q12_3" value="3" /><label
													for="q12_3">中等影响</label></li>
												<li style="width: 105px;"><input type="radio"
													title="影响很大" name="q12" id="q12_4" value="4" /><label
													for="q12_4">影响很大</label></li>
												<li style="width: 105px;"><input type="radio"
													title="影响非常大" name="q12" id="q12_5" value="5" /><label
													for="q12_5">影响非常大</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div13">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>13.</b>
											</div>
											<div id="divTitle13" class="div_title_question">
												在过去4个星期里，您有身体疼痛吗？<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion13">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="完全没有" name="q13" id="q13_1" value="1" /><label
													for="q13_1">完全没有</label></li>
												<li style="width: 105px;"><input type="radio"
													title="有一点" name="q13" id="q13_2" value="2" /><label
													for="q13_2">有一点</label></li>
												<li style="width: 105px;"><input type="radio"
													title="中等" name="q13" id="q13_3" value="3" /><label
													for="q13_3">中等</label></li>
												<li style="width: 105px;"><input type="radio"
													title="严重" name="q13" id="q13_4" value="4" /><label
													for="q13_4">严重</label></li>
												<li style="width: 105px;"><input type="radio"
													title="很严重" name="q13" id="q13_5" value="5" /><label
													for="q13_5">很严重</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div14">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>14.</b>
											</div>
											<div id="divTitle14" class="div_title_question">
												在过去4个星期里，您的身体疼痛影响了您的工作和家务吗？<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion14">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="完全没有影响" name="q14" id="q14_1" value="1" /><label
													for="q14_1">完全没有影响</label></li>
												<li style="width: 105px;"><input type="radio"
													title="有一点影响" name="q14" id="q14_2" value="2" /><label
													for="q14_2">有一点影响</label></li>
												<li style="width: 105px;"><input type="radio"
													title="中等影响" name="q14" id="q14_3" value="3" /><label
													for="q14_3">中等影响</label></li>
												<li style="width: 105px;"><input type="radio"
													title="影响很大" name="q14" id="q14_4" value="4" /><label
													for="q14_4">影响很大</label></li>
												<li style="width: 105px;"><input type="radio"
													title="影响非常大" name="q14" id="q14_5" value="5" /><label
													for="q14_5">影响非常大</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div id="divCut3">
										<div class="div_title_cut_question">
											<strong>15-24题是关于过去1个月里您自己的感觉，对每一条问题所说的事情，您的情况是什么样的？</strong>
										</div>
									</div>
									<div class="div_question" id="div15">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>15.</b>
											</div>
											<div id="divTitle15" class="div_title_question">
												您觉得生活充实：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion15">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q15" id="q15_1" value="1" /><label
													for="q15_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q15" id="q15_2" value="2" /><label
													for="q15_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q15" id="q15_3" value="3" /><label
													for="q15_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q15" id="q15_4" value="4" /><label
													for="q15_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q15" id="q15_5" value="5" /><label
													for="q15_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q15" id="q15_6" value="6" /><label
													for="q15_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div16">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>16.</b>
											</div>
											<div id="divTitle16" class="div_title_question">
												您是一个敏感的人：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion16">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q16" id="q16_1" value="1" /><label
													for="q16_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q16" id="q16_2" value="2" /><label
													for="q16_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q16" id="q16_3" value="3" /><label
													for="q16_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q16" id="q16_4" value="4" /><label
													for="q16_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q16" id="q16_5" value="5" /><label
													for="q16_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q16" id="q16_6" value="6" /><label
													for="q16_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div17">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>17.</b>
											</div>
											<div id="divTitle17" class="div_title_question">
												您的情绪非常不好，什么事都不能使您高兴起来：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion17">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q17" id="q17_1" value="1" /><label
													for="q17_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q17" id="q17_2" value="2" /><label
													for="q17_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q17" id="q17_3" value="3" /><label
													for="q17_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q17" id="q17_4" value="4" /><label
													for="q17_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q17" id="q17_5" value="5" /><label
													for="q17_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q17" id="q17_6" value="6" /><label
													for="q17_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div18">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>18.</b>
											</div>
											<div id="divTitle18" class="div_title_question">
												您的心理很平静：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion18">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q18" id="q18_1" value="1" /><label
													for="q18_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q18" id="q18_2" value="2" /><label
													for="q18_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q18" id="q18_3" value="3" /><label
													for="q18_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q18" id="q18_4" value="4" /><label
													for="q18_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q18" id="q18_5" value="5" /><label
													for="q18_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q18" id="q18_6" value="6" /><label
													for="q18_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div19">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>19.</b>
											</div>
											<div id="divTitle19" class="div_title_question">
												您做事精力充沛：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion19">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q19" id="q19_1" value="1" /><label
													for="q19_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q19" id="q19_2" value="2" /><label
													for="q19_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q19" id="q19_3" value="3" /><label
													for="q19_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q19" id="q19_4" value="4" /><label
													for="q19_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q19" id="q19_5" value="5" /><label
													for="q19_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q19" id="q19_6" value="6" /><label
													for="q19_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div20">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>20.</b>
											</div>
											<div id="divTitle20" class="div_title_question">
												您的情绪低落：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion20">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q20" id="q20_1" value="1" /><label
													for="q20_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q20" id="q20_2" value="2" /><label
													for="q20_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q20" id="q20_3" value="3" /><label
													for="q20_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q20" id="q20_4" value="4" /><label
													for="q20_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q20" id="q20_5" value="5" /><label
													for="q20_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q20" id="q20_6" value="6" /><label
													for="q20_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div21">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>21.</b>
											</div>
											<div id="divTitle21" class="div_title_question">
												您觉得筋疲力尽：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion21">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q21" id="q21_1" value="1" /><label
													for="q21_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q21" id="q21_2" value="2" /><label
													for="q21_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q21" id="q21_3" value="3" /><label
													for="q21_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q21" id="q21_4" value="4" /><label
													for="q21_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q21" id="q21_5" value="5" /><label
													for="q21_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q21" id="q21_6" value="6" /><label
													for="q21_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div22">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>22.</b>
											</div>
											<div id="divTitle22" class="div_title_question">
												您是个快乐的人：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion22">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q22" id="q22_1" value="1" /><label
													for="q22_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q22" id="q22_2" value="2" /><label
													for="q22_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q22" id="q22_3" value="3" /><label
													for="q22_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q22" id="q22_4" value="4" /><label
													for="q22_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q22" id="q22_5" value="5" /><label
													for="q22_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q22" id="q22_6" value="6" /><label
													for="q22_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div23">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>23.</b>
											</div>
											<div id="divTitle23" class="div_title_question">
												您感觉厌烦：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion23">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q23" id="q23_1" value="1" /><label
													for="q23_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q23" id="q23_2" value="2" /><label
													for="q23_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q23" id="q23_3" value="3" /><label
													for="q23_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q23" id="q23_4" value="4" /><label
													for="q23_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q23" id="q23_5" value="5" /><label
													for="q23_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q23" id="q23_6" value="6" /><label
													for="q23_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div24">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>24.</b>
											</div>
											<div id="divTitle24" class="div_title_question">
												不健康影响了您的社会活动（如走亲访友）：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion24">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="所有的时间" name="q24" id="q24_1" value="1" /><label
													for="q24_1">所有的时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="大部分时间" name="q24" id="q24_2" value="2" /><label
													for="q24_2">大部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="比较多时间" name="q24" id="q24_3" value="3" /><label
													for="q24_3">比较多时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一部分时间" name="q24" id="q24_4" value="4" /><label
													for="q24_4">一部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="小部分时间" name="q24" id="q24_5" value="5" /><label
													for="q24_5">小部分时间</label></li>
												<li style="width: 105px;"><input type="radio"
													title="没这种感觉" name="q24" id="q24_6" value="6" /><label
													for="q24_6">没这种感觉</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div id="divCut4">
										<div class="div_title_cut_question">
											<strong>&nbsp;25-28题是关于您的总体健康状况的问题，请看下列每一条问题，哪一种答案最符合您的情况？</strong>
										</div>
									</div>
									<div class="div_question" id="div25">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>25.</b>
											</div>
											<div id="divTitle25" class="div_title_question">
												我好象比别人容易生病：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion25">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="很不符合" name="q25" id="q25_1" value="1" /><label
													for="q25_1">很不符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="不符合" name="q25" id="q25_2" value="2" /><label
													for="q25_2">不符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一般" name="q25" id="q25_3" value="3" /><label
													for="q25_3">一般</label></li>
												<li style="width: 105px;"><input type="radio"
													title="符合" name="q25" id="q25_4" value="4" /><label
													for="q25_4">符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="很符合" name="q25" id="q25_5" value="5" /><label
													for="q25_5">很符合</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div26">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>26.</b>
											</div>
											<div id="divTitle26" class="div_title_question">
												我跟周围人一样健康：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion26">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="很不符合" name="q26" id="q26_1" value="1" /><label
													for="q26_1">很不符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="不符合" name="q26" id="q26_2" value="2" /><label
													for="q26_2">不符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一般" name="q26" id="q26_3" value="3" /><label
													for="q26_3">一般</label></li>
												<li style="width: 105px;"><input type="radio"
													title="符合" name="q26" id="q26_4" value="4" /><label
													for="q26_4">符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="很符合" name="q26" id="q26_5" value="5" /><label
													for="q26_5">很符合</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div27">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>27.</b>
											</div>
											<div id="divTitle27" class="div_title_question">
												我认为我的健康状况在变坏：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion27">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="很不符合" name="q27" id="q27_1" value="1" /><label
													for="q27_1">很不符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="不符合" name="q27" id="q27_2" value="2" /><label
													for="q27_2">不符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一般" name="q27" id="q27_3" value="3" /><label
													for="q27_3">一般</label></li>
												<li style="width: 105px;"><input type="radio"
													title="符合" name="q27" id="q27_4" value="4" /><label
													for="q27_4">符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="很符合" name="q27" id="q27_5" value="5" /><label
													for="q27_5">很符合</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div28">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>28.</b>
											</div>
											<div id="divTitle28" class="div_title_question">
												我的健康状况非常好：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion28">
											<div class="div_table_clear_top"></div>
											<ul style="margin: 5px 0 0 5px;">
												<li style="width: 105px;"><input type="radio"
													title="很不符合" name="q28" id="q28_1" value="1" /><label
													for="q28_1">很不符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="不符合" name="q28" id="q28_2" value="2" /><label
													for="q28_2">不符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="一般" name="q28" id="q28_3" value="3" /><label
													for="q28_3">一般</label></li>
												<li style="width: 105px;"><input type="radio"
													title="符合" name="q28" id="q28_4" value="4" /><label
													for="q28_4">符合</label></li>
												<li style="width: 105px;"><input type="radio"
													title="很符合" name="q28" id="q28_5" value="5" /><label
													for="q28_5">很符合</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div id="divCut5">
										<div class="div_title_cut_question">
											员工健康与企业管理
											<hr />
										</div>
									</div>
									<div class="div_question" id="div29">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>29.</b>
											</div>
											<div id="divTitle29" class="div_title_question">
												您认为您现在工作的主要动力是？<span style="color: red;">&nbsp;*</span><span
													style="color: #0066FF;">&nbsp;[多选题]</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion29">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 99%;"><input id="q29_1"
													type="checkbox" name="q29" value="1" /><label for="q29_1">这是我所热爱的事业</label>
												</li>
												<li style="width: 99%;"><input id="q29_2"
													type="checkbox" name="q29" value="2" /><label for="q29_2">为了自己将来的发展</label>
												</li>
												<li style="width: 99%;"><input id="q29_3"
													type="checkbox" name="q29" value="3" /><label for="q29_3">挣足够的钱过舒适的生活</label>
												</li>
												<li style=""><input id="q29_4" type="checkbox"
													name="q29" value="4" /><label for="q29_4">其它</label> <input
													type="text" class="underline" value=""
													onpropertychange="lengthChange(this);"
													oninput="lengthChange(this);" rel="q29_4"
													style="color: rgb(153, 153, 153);" /></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div30">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>30.</b>
											</div>
											<div id="divTitle30" class="div_title_question">
												您感觉您目前来自工作的压力<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" style="width: 60%;"
											id="divquestion30">
											<div class="div_table_clear_top"></div>
											<br style="clear: both;" />
											<div style="clear: both;">
												<span class="spanLeft" style="color: red;">没有压力(0)</span><span
													class="spanRight" style="color: red;">压力非常大(10)</span>
												<div style="clear: both;"></div>
											</div>
											<div rel="slider30" defvalue="" minvalue="0" maxvalue="10"
												style="clear: both;" class="slider" id="divSlider30">
												<div id="divSlider30_wrapper" style="position: relative;">
													<div id="divSlider30_slider" class="imageSlider1"
														style="position: absolute;"></div>
													<div title="拖动或点击滑动条" id="divSlider30_bar"
														class="imageBar1" style="position: absolute;"></div>
													<span id="divSlider30_sp"
														style="color: red; font-size: 14px; position: absolute;"></span>
													<div style="clear: both;"></div>
												</div>
											</div>
											<span style="color: red; float: left;"></span><br
												style="clear: both;" />
											<div style="clear: both;"></div>
											<div style="clear: both; height: 10px;"></div>
											<div>
												<div style="height: 16px; line-height: 16px;" id="slider30"></div>
											</div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div31">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>31.</b>
											</div>
											<div id="divTitle31" class="div_title_question">
												您平时缓解压力的方法有（可多选）<span style="color: red;">&nbsp;*</span><span
													style="color: #0066FF;">&nbsp;[多选题]</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion31">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 99%;"><input id="q31_1"
													type="checkbox" name="q31" value="1" /><label for="q31_1">运动</label>
												</li>
												<li style="width: 99%;"><input id="q31_2"
													type="checkbox" name="q31" value="2" /><label for="q31_2">打扫卫生</label>
												</li>
												<li style="width: 99%;"><input id="q31_3"
													type="checkbox" name="q31" value="3" /><label for="q31_3">找朋友或家人倾诉</label>
												</li>
												<li style="width: 99%;"><input id="q31_4"
													type="checkbox" name="q31" value="4" /><label for="q31_4">娱乐活动（电影、KTV等）</label>
												</li>
												<li style="width: 99%;"><input id="q31_5"
													type="checkbox" name="q31" value="5" /><label for="q31_5">在安静的地方独处、放松</label>
												</li>
												<li style="width: 99%;"><input id="q31_6"
													type="checkbox" name="q31" value="6" /><label for="q31_6">在内心激励自己，化压力为动力</label>
												</li>
												<li style="width: 99%;"><input id="q31_7"
													type="checkbox" name="q31" value="7" /><label for="q31_7">适当给自己一些物质奖励</label>
												</li>
												<li style=""><input id="q31_8" type="checkbox"
													name="q31" value="8" /><label for="q31_8">其它</label> <input
													type="text" class="underline" value=""
													onpropertychange="lengthChange(this);"
													oninput="lengthChange(this);" rel="q31_8"
													style="color: rgb(153, 153, 153);" /></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div32">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>32.</b>
											</div>
											<div id="divTitle32" class="div_title_question">您所在的企业是否有一些缓解员工压力的政策和方法？如果有，请您进行简单描述：</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion32">
											<div class="div_table_clear_top"></div>
											<textarea title=""
												style="overflow: auto; width: 62%; height: 90px;"
												class="inputtext" value="" id="q32" name="q32" cols=""
												rows=""></textarea>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div33">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>33.</b>
											</div>
											<div id="divTitle33" class="div_title_question">
												您目前每周锻炼身体所用的时间是：<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion33">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 99%;"><input type="radio" name="q33"
													id="q33_1" value="1" /><label for="q33_1">1小时以下</label></li>
												<li style="width: 99%;"><input type="radio" name="q33"
													id="q33_2" value="2" /><label for="q33_2">1~2小时</label></li>
												<li style="width: 99%;"><input type="radio" name="q33"
													id="q33_3" value="3" /><label for="q33_3">2~3.5小时</label>
												</li>
												<li style="width: 99%;"><input type="radio" name="q33"
													id="q33_4" value="4" /><label for="q33_4">3.5~7小时</label>
												</li>
												<li style="width: 99%;"><input type="radio" name="q33"
													id="q33_5" value="5" /><label for="q33_5">7小时以上</label></li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div34">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>34.</b>
											</div>
											<div id="divTitle34" class="div_title_question">
												您锻炼时所作的运动的程度是<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion34">
											<div class="div_table_clear_top"></div>
											<ul>
												<li style="width: 99%;"><input type="radio" name="q34"
													id="q34_1" value="1" /><label for="q34_1">大汗淋漓，运动后需要半小时以上的休息来恢复</label>
												</li>
												<li style="width: 99%;"><input type="radio" name="q34"
													id="q34_2" value="2" /><label for="q34_2">一般程度的有氧运动，运动结束后稍作休息即可</label>
												</li>
												<li style="width: 99%;"><input type="radio" name="q34"
													id="q34_3" value="3" /><label for="q34_3">运动后不会有明显疲惫的感觉</label>
												</li>
												<li style="width: 99%;"><input type="radio" name="q34"
													id="q34_4" value="4" /><label for="q34_4">类似于放松的活动，完成后觉得精力充沛</label>
												</li>
												<div style="clear: both;"></div>
											</ul>
											<div style="clear: both;"></div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div35">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>35.</b>
											</div>
											<div id="divTitle35" class="div_title_question">您的午休时间是多少小时？</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion35">
											<div class="div_table_clear_top"></div>
											<textarea title=""
												style="overflow: auto; width: 200px; height: 18px;"
												class="underline" value="" id="q35" name="q35" cols=""
												rows=""></textarea>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div36">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>36.</b>
											</div>
											<div id="divTitle36" class="div_title_question">您所在的公司有没有关于员工身心健康的政策和福利？如果有，请做简要说明：</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion36">
											<div class="div_table_clear_top"></div>
											<textarea title=""
												style="overflow: auto; width: 62%; height: 90px;"
												class="inputtext" value="" id="q36" name="q36" cols=""
												rows=""></textarea>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div37">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>37.</b>
											</div>
											<div id="divTitle37" class="div_title_question">
												您认为您公司的政策和福利是否有助于提高您的工作效率？<span style="color: red;">&nbsp;*</span>
											</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" style="width: 60%;"
											id="divquestion37">
											<div class="div_table_clear_top"></div>
											<br style="clear: both;" />
											<div style="clear: both;">
												<span class="spanLeft" style="color: red;">没有帮助(0)</span><span
													class="spanRight" style="color: red;">非常有帮助(10)</span>
												<div style="clear: both;"></div>
											</div>
											<div rel="slider37" defvalue="" minvalue="0" maxvalue="10"
												style="clear: both;" class="slider" id="divSlider37">
												<div id="divSlider37_wrapper" style="position: relative;">
													<div id="divSlider37_slider" class="imageSlider1"
														style="position: absolute;"></div>
													<div title="拖动或点击滑动条" id="divSlider37_bar"
														class="imageBar1" style="position: absolute;"></div>
													<span id="divSlider37_sp"
														style="color: red; font-size: 14px; position: absolute;"></span>
													<div style="clear: both;"></div>
												</div>
											</div>
											<span style="color: red; float: left;"></span><br
												style="clear: both;" />
											<div style="clear: both;"></div>
											<div style="clear: both; height: 10px;"></div>
											<div>
												<div style="height: 16px; line-height: 16px;" id="slider37"></div>
											</div>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div38">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>38.</b>
											</div>
											<div id="divTitle38" class="div_title_question">您对您公司关于关注员工身心健康的方面有什么意见和建议？</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion38">
											<div class="div_table_clear_top"></div>
											<textarea title=""
												style="overflow: auto; width: 62%; height: 90px;"
												class="inputtext" value="" id="q38" name="q38" cols=""
												rows=""></textarea>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div class="div_question" id="div39">
										<div class="div_title_question_all">
											<div class="div_topic_question">
												<b>39.</b>
											</div>
											<div id="divTitle39" class="div_title_question">如果您希望了解本次调查的结果，请留下您的邮箱~</div>
											<div style="clear: both;"></div>
										</div>
										<div class="div_table_radio_question" id="divquestion39">
											<div class="div_table_clear_top"></div>
											<textarea title=""
												style="overflow: auto; width: 200px; height: 18px;"
												class="underline" value="" id="q39" name="q39" cols=""
												rows=""></textarea>
											<div class="div_table_clear_bottom"></div>
										</div>
									</div>
									<div id="divCut6">
										<div class="div_title_cut_question">
											<span style="font-size: 24px;"><strong><span
													style="font-family: simhei;">谢谢您的支持~<img border="0"
														alt="" src="./健康状况调查问卷_files/21.gif" width="24"
														height="24" /> </span> </strong> </span>
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